Claim total
$3,668.70
base $127.17 · payer covered $3,618.70
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1950-07-09
- Stop
- 1950-07-09
The parties
- Patient
- patient Page Jesica Batz
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
1d6d5362-a15b-f65e-c040-6a88728c94ef